Individual
MR. KENNETH GERARD GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., L.L.P.C.
Contact information
Practice address
29532 SOUTHFIELD RD. SUITE 208, SOUTHFIELD, MI 48076
(248) 596-6993
Mailing address
29532 SOUTHFIELD RD STE 208, SOUTHFIELD, MI 48076-2023
(248) 596-6993
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401013774
MI
Other
Enumeration date
08/17/2017
Last updated
07/21/2022
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